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Based on public Medicaid payment data.

Memorialcare Select Health Plan

Medicaid Provider in Fountain Valley, CA

Type

Organization

Address

17360 Brookhurst St

Fountain Valley, CA 927083720

Phone

8553677747

NPI

1407293814

Procedures

18

Total Claims

47K

Patients Served

40.6K

About these costs

All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.

Procedures & Average Costs

Procedure Avg. Paid Claims Patients
Blood Work & Lab Tests $0.17 23,962 20,759
Office Visit $45.75 5,954 5,602
Urinalysis & Urine Tests $0.48 5,776 5,354
Physical Therapy $12.91 3,137 1,295
Emergency Room Visit $72.54 2,612 2,474
Culture & Microbiology Tests $0.09 1,826 1,734
Pathology & Lab Services $16.11 834 813
Ultrasound $60.31 695 607
X-Ray $15.19 492 450
Pregnancy & Prenatal Care $57.20 486 337
EKG / ECG (Electrocardiogram) $14.67 401 354
Eye Exam $5.25 221 220
Hearing Test (Audiometry) $0.00 185 185
Vaccines & Immunizations $9.20 181 179
Prescription Medications $0.23 104 102
Ambulance Transport $33.49 52 48
CT Scan (Computed Tomography) $80.56 26 26
Pulmonary Function Test $0.00 13 12

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